Most Relevant Information
Provider Data
| NPI Number: | 1003324286 |
| Provider Name: | KRISTA HEARON LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/22/2018 |
| Last Updated: | 03/15/2024 |
Provider Practice Location
1515 EDGEWOOD LN
SAPULPA
OK
740664929
Practice Location Phone/Fax
| Phone: | 4059385786 |
| Fax: |
Provider Mailing Location
1515 EDGEWOOD LN
SAPULPA
OK
740666339
Provider Mailing Phone/Fax
| Phone: | 4059385786 |
| Fax: | 4059484933 |